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0 9 �7 <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS WASTE <br /> RECYCLABLE MATERIALS REPORT -PAGE 2 <br /> FOR EXCLUDED OR EXEMPTED MATERIALS ONLY <br /> (One descri tion per material recycled. Attach additional pa-,cs,if needed) <br /> mmokimmohm <br /> W519.TOTAL NUMBER OF RECYCLABLE MATERIALSPage of1. BUSINESS NAME(Same az FACILITY NAMEarDBA-Doing Business As) 3' <br /> FACILITY ID# 11 Is tIV.RECATERIAL IN RMATION <br /> A.DESCRIPTION <br /> 520. COMMON NAME OF RECYCLABLE 521. QUANTITY DURING 5'"" 523. <br /> RECYCLABLE <br /> MATERIAL NUMBER MATERIAL TWO YEAR REPORTING UNITS au. Gallons 0 c. Tons <br /> PERIOD <br /> h. Pounds ❑d. Kilograms <br /> 061 <br /> 524. <br /> RECYCLABLE MATERIAL DESCRIPTION <br /> 10 1 -LW <br /> 525. <br /> RECYCLING PROCESS AND BENEFICIAL USE OF RECYCLABLE MATERIAL �1 l' f�zrnw�5. <br /> 4;f is used c year 6aIEs c len hle lchr drive Sy ��j' a clay ba6is. <br /> 3 clrAm,-7�"f+s -trGIMA&rdd tD l�crjC [Lrlr 3+ J4 i5 Tc-uSer1 <br /> C�1� [ahr-�S��� rf/l7t'D Q .J <br /> � rerl�u.>�l u�r au unfi is c�vie• 527. <br /> AUTHORIZING PROVISION OF H&SC SECTION 25143.2 BASIS FOR CLAIM TO AN EXCLUSION OR EXEMPTION <br /> B.PRODUCT AND CONSTITUENT INFORMATION: OFF-SITE ONLY <br /> Only complete if recyclable material was used to make or substitute for a product and operating pursuant to H&SC Section 25143.2(b)or(d)(5)or(6). <br /> HAZARDOUS CONSTITUENT CONCENTRATION LIST FINAL PRODUCT(S)MADE FROM"PHIS <br /> HAZARDOUS CONSTITUENT RECYCLABLE MATERIAL AND BENEFICIAL USE <br /> In Recyclable Material In Final Product OF FINAL PRODUCT(S) <br /> 5^_8. 5?9. <br /> 531. 533. <br /> UNITS 530. UNITS 532. <br /> ❑a.percent ❑b.ppm ❑a. percent ❑b.ppm <br /> 539. <br /> 534. <br /> 535. 537. <br /> UNITS 536. UNITS 538. <br /> ❑a.pereent ❑b.ppm ❑a.percent ❑b.ppm <br /> 541 941. <br /> 543. 545. <br /> UNITS 54? UNITS 544. <br /> ❑a.percent ❑b.ppm ❑a.percent ❑b.ppm <br /> 546. 547. 549. SSI. <br /> UNITS 548• UNITS 550. <br /> ❑a.percent ❑b.ppm I ❑a.percent ❑b.ppm <br /> IF more than four constituents are recycled,attach additional sheets using this same format. <br /> V.DOCUMENTATION OF KNOWN MARKET (Off-site recyclers only) <br /> ❑ DOCUMENTATION IS ATTACHED: Off-site recyclers must attach documentation that there was a known market for disposition of the recyclable material <br /> and any products manufactured from the recyclable materials and provide a copy of this report to the generator when the report is submitted to the CUPA. <br /> [H&SC Section 25143.1 0(a)(3)(A)l <br /> UPCF(1199)Hwfrecyc 314 www.unidocs.org Rev.02/16/00 <br />